Determinants of alveolar ridge preservation differ by anatomic location
Autor: | Vedat O. Yildiz, Sudha Agarwal, Ashley Johnson, Dimitris N. Tatakis, Yirae Ort, Mabel L. Salas, Do-Gyoon Kim, Binnaz Leblebicioglu |
---|---|
Rok vydání: | 2012 |
Předmět: |
Adult
Male Bone Regeneration Treatment outcome Alveolar Bone Loss Dentistry Statistics Nonparametric Article Young Adult Alveolar ridge Alveolar Process Medicine Humans Prospective Studies Tooth Socket Bone regeneration Anatomic Location Dental alveolus Aged Aged 80 and over Bone Transplantation Chi-Square Distribution business.industry Alveolar process Dental Implantation Endosseous Membranes Artificial X-Ray Microtomography Middle Aged Resorption medicine.anatomical_structure Treatment Outcome Tooth Extraction Ridge (meteorology) Guided Tissue Regeneration Periodontal Periodontics Regression Analysis Female Collagen business |
Zdroj: | Journal of clinical periodontology. 40(4) |
ISSN: | 1600-051X |
Popis: | The clinical and histological aspects of socket healing have been reported (Boyne 1966, Trombelli et al. 2008; Van der Weijden 2009, Moya-Villaescusa & Sanchez-Perez 2010, Ten Heggeler et al. 2011). Alveolar bone resorption post-extraction varies among individuals and sites; ridge height loss is greater in mandibular than maxillary sites and ridge width loss is greater on buccal aspects (Smukler et al. 1999, Iasella et al. 2003). Post-extraction ridge resorption leads to loss of function, inadequate bone for dental implants and prosthodontic difficulties (Bartee 2001). The need to avoid such complications has spurred significant interest in developing techniques and biomaterials to prevent ridge resorption. Alveolar ridge preservation (ARP) is a guided bone regeneration (GBR) procedure aiming to control post-extraction ridge resorption. Current ARP protocols include bone autografts, allografts, xenografts, alloplasts and membranes of diverse origin (Nemcovsky & Serfaty 1996, Bartee 2001, Iasella et al. 2003, Fickl et al. 2008a,b). Despite numerous options, outcome data are scarce (Ten Heggeler et al. 2011). The limited evidence available suggests that mineralized freeze-dried bone allograft (FDBA) combined with collagen membrane may offer the best height preservation (Iasella et al. 2003, Ten Heggeler et al. 2011). No ARP protocol effectively prevents ridge width changes (Ten Heggeler et al. 2011). To the best of our knowledge, there are no studies providing insights regarding the factors, anatomical or other, which determine ARP outcomes. Therefore, the purpose of this study was to investigate and compare, in maxillary and mandibular sites, the clinical and histological outcomes of ARP, in an effort to identify treatment outcome determinants for these different anatomical locations. |
Databáze: | OpenAIRE |
Externí odkaz: |